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Current Practice and Future Perspectives in Scoliosis Treatment
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Current Practice and Future Perspectives in Scoliosis Treatment

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (20 September 2024) | Viewed by 7566

Special Issue Editors

Prof. Dr. Jesús Burgos

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Guest Editor
Spine Unit, Hospital Vithas Internacional, 28027 Madrid, Spain
Interests: spinal deformities
Dr. Eduardo Hevia

E-Mail Website
Guest Editor
Head of the Spine Unit, Clínica Universidad de Navarra, 28027 Madrid, Spain
Interests: spinal deformities; total disc replacement; cervical spine surgery; lumbar spine surgery
Dr. Gonzalo Mariscal

E-Mail Website
Guest Editor
Mediterranean Observatory for Clinical and Health Research, Carrer de Quevedo, 2, 46001 València, Spain
Interests: evidence based medicine; spine; adolescent idiopathic scoliosis; surgery complications; new surgical techniqeues

Special Issue Information

Dear Colleagues,

This Special Issue aims to explore the current multidisciplinary approaches and advancements in the clinical management of scoliosis. As a condition requiring continual optimization of diagnosis and treatment pathways, papers will synthesize established standards and emerging innovations across key specialties including orthopedics, rehabilitation, and neurology. Particular focus is placed on contemporary non-surgical and surgical techniques, such as bracing, exercises, and innovations in spinal instrumentation. Outcomes assessing the various domains affecting patients' lives were also discussed. While advancing the biomedical understanding of scoliosis, the overarching goal of the papers included is to inform evidence-based medical decisionmaking through the integration of epidemiological, clinical, and health service research relevant to practice. By bringing together experts across fields, this compilation seeks to enhance scoliosis care by mobilizing multimodal scholarship that translates insights into practical solutions applicable to improving the quality of life for those living with this challenging condition. The etiological or pathophysiological research presented will complement clinical analysis.

Prof. Dr. Jesús Burgos
Dr. Eduardo Hevia
Dr. Gonzalo Mariscal
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • scoliosis
  • spinal instrumentation
  • bracing
  • exercise therapy
  • quality of life

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Published Papers (2 papers)

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13 pages, 2247 KiB  
Article
Posterior Correction and Fusion Using a 4D Anatomical Spinal Reconstruction Technique Improves Postural Stability Under the Eye-Closed Condition in Patients with Adolescent Idiopathic Scoliosis
by Satoshi Osuka, Hideki Sudo, Katsuhisa Yamada, Hiroyuki Tachi, Akira Fukushima, Hiroki Mani, Kentaro Watanabe, Fuma Sentoku, Takeshi Chiba, Hiroaki Hori, Norimasa Iwasaki, Masahiko Mukaino and Harukazu Tohyama
J. Clin. Med. 2024, 13(21), 6366; https://doi.org/10.3390/jcm13216366 - 24 Oct 2024
Cited by 1 | Viewed by 1005
Abstract
Background: Patients with adolescent idiopathic scoliosis (AIS) has been reported to exhibit impaired postural stability. Posterior correction and fusion using four-dimensional (4D) anatomical spinal reconstruction techniques may improve postural stability to correct the spine for optimal anatomical alignment. This prospective study aimed [...] Read more.
Background: Patients with adolescent idiopathic scoliosis (AIS) has been reported to exhibit impaired postural stability. Posterior correction and fusion using four-dimensional (4D) anatomical spinal reconstruction techniques may improve postural stability to correct the spine for optimal anatomical alignment. This prospective study aimed to determine the effect of posterior correction and fusion using a 4D anatomical spinal reconstruction technique on postural stability in the eye-open and eye-closed standing position in patients with thoracic AIS. Methods: Thirty-three patients with AIS, excluding those with Lenke type 5C AIS, participated in the study. The mean and standard deviation of the minimum values of the time-to-boundary (TTB) were determined. All patients were asked to perform the quiet standing position under the eye-open and eye-closed condition on a force plate preoperatively and at 1 week and 2 years postoperatively. The TTB value was calculated from the velocity and distance to the foot boundary of the acquired center-of-pressure data. Results: Under the eye-closed condition, the mean and standard deviation of the minimum TTB were significantly higher at 2 years postoperatively than preoperatively and at 1 week postoperatively. The mean and standard deviation of the minimum TTB values were significantly lower at 1 week postoperatively than preoperatively. Conclusions: The results of this study suggest that surgery using the 4D anatomical spinal reconstruction technique reduces postural stability immediately after surgery; however, it improves postural stability at 2 years compared to the preoperative values. Full article
(This article belongs to the Special Issue Current Practice and Future Perspectives in Scoliosis Treatment)
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13 pages, 875 KiB  
Study Protocol
Improving Therapy for Children with Scoliosis through Reducing Ionizing Radiation by Using Alternative Imaging Methods—A Study Protocol
by Fee Keil, Robert Schneider, Nenad Polomac, Omar Zabar, Tobias Finger, Fabian Holzgreve, Marcus Czabanka, Christina Erbe, David A. Groneberg, Elke Hattingen, Daniela Ohlendorf and Panagiotis Diaremes
J. Clin. Med. 2024, 13(19), 5768; https://doi.org/10.3390/jcm13195768 - 27 Sep 2024
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Abstract
Background: Patients with scoliosis often require multiple imaging modalities. The aim of this study was to find out whether primary diagnosis, including surgical planning, could be carried out entirely without computed tomography (CT) scans and whether follow-up could be replaced with alternative methods [...] Read more.
Background: Patients with scoliosis often require multiple imaging modalities. The aim of this study was to find out whether primary diagnosis, including surgical planning, could be carried out entirely without computed tomography (CT) scans and whether follow-up could be replaced with alternative methods without the use of X-rays. In order to reduce the radiation exposure in the diagnosis and treatment of severe scoliosis, we expect to replace X-rays with radiation-free or less-intensive radiation examinations. This study protocol is interdisciplinary. Methods: A total of 50 male and female patients (children and adolescents, aged 7–18 years) treated for scoliosis will be analyzed. In addition to routine projection radiographs, preoperative CT, and/or X-ray stereoradiography (EOS) examinations, thin-slice 3D magnetic resonance imaging (MRI) sequences will be retrospectively reformatted during the preoperative MRI examination. A three-dimensional back scan (video-raster stereography) and an intraoral scan will also be obtained. The following questions should be answered at the end of the project: (1) Can MRI examination with additional thin-slice 3D reconstruction answer all relevant questions for preoperative planning instead of CT? (2) Are EOS or whole-spine X-ray examinations in combination with MRI data sufficient for the evaluation of the pedicles and spinal deformity? (3) Does the Cobb angle in the radiograph correlate with the calculations from the back scanner image and can follow-up checks be replaced? (4) Are there any correlations between dental anomalies and scoliosis? Conclusions: Until now, pediatric patients with scoliosis have been diagnosed, monitored, and treated with numerous independent specialist disciplines, such as pediatricians, orthopedic surgeons, neurosurgeons, and general practitioners with different radiological issues. The aim of this project is to reduce radiation and lower perioperative risks by creating a preoperative and follow-up-related standard protocol in close interdisciplinary and targeted cooperation between all the specialist disciplines involved. In line with the holistic examination approach, the associated accompanying diseases and developmental disorders such as dental and neuronal malformations will also be examined. On the one hand, CT-based questions could be replaced with the reconstruction of thin-slice MRI sequences. In addition, it may be possible to use the three-dimensional back scan as an intermediate diagnostic procedure instead of X-rays in the monitoring of severe scoliosis. Insofar as correlations or causalities between scoliosis and occlusal anomalies, early orthodontic intervention could positively benefit the duration of therapy at a later stage. Full article
(This article belongs to the Special Issue Current Practice and Future Perspectives in Scoliosis Treatment)
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